Organization
REGENTS OF THE UNIV OF MI COMMUNITY DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS J ALLEN DDS (DIRECTOR)
(734) 998-9640
Entity
Organization
Contact information
Practice address
406 N ASHLEY ST, ANN ARBOR, MI 48109-3308
(734) 998-9640
(734) 998-9647
Mailing address
406 N ASHLEY ST, ANN ARBOR, MI 48109-3308
(734) 998-9640
(734) 998-9647
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88067
DELTA DENTAL OF MI DENTIS
MI
01
—
88129
DELTA DENTAL OF MI PERIO
MI
01
—
D800484
BCBS OF MI DENTAL
MI
Enumeration date
03/20/2007
Last updated
09/11/2025
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